CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University of Iowa Hospital & Clinics

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $268
Cash Discount Price: $375
vs. Medicare Baseline: 2.12x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University of Iowa Hospital & Clinics is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $375. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.12x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$375

Average discount available for prompt cash payment at this facility.

Insurance Median

$268

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Cash / Self-Pay: $375 (297%)

Insurance Median: $268 (212%)

Cash: $375 (297% of Medicare)

Ins. Median: $268 (212% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 212% of the Medicare baseline (a markup of 112%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Immergrun	$32 - $134	25%
Medical Associates	$79 - $349	63%
Oscar Health	$81 - $337	64%
Aetna	$82 - $412	65%
Great River Health Systems	$90 - $374	71%
Healthpartners	$96 - $455	76%
Quad City Community Healthcare	$96 - $401	76%
Sedgwick	$102 - $428	81%
Global Excel	$109 - $455	86%
Sanford Health Plan	$109 - $455	86%
Employee Benefit Systems	$113 - $482	90%
Sisco	$113 - $471	90%
Wellpoint (Amerigroup)	$114 - $121	90%
Healthsmart	$115 - $482	91%
Iowa Total Care	$115 - $120	91%
Molina Healthcare	$115 - $116	91%
UnitedHealthcare	$115 - $586	91%
Blue Cross Blue Shield	$117 - $279	93%
Hfn	$118 - $492	93%
Multiplan	$118 - $492	93%
American Health Plan	$121 - $268	96%
Midlands Choice	$281 - $485	223%
Aplos Health Plan	$295 - $428	234%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $375.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Iowa Hospital & Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.